Dmhg Psychological Services Pllc | |
4963 Sw 128th Ter Miramar FL 33027-5508 | |
(305) 877-7051 | |
Not Available |
Full Name | Dmhg Psychological Services Pllc |
---|---|
Speciality | Psychologist |
Location | 4963 Sw 128th Ter, Miramar, Florida |
Authorized Official Name and Position | Mary Denise Decruise (MGMR/OWNER) |
Authorized Official Contact | 3058777051 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dmhg Psychological Services Pllc 4963 Sw 128th Ter Miramar FL 33027-5508 Ph: (305) 877-7051 | Dmhg Psychological Services Pllc 4963 Sw 128th Ter Miramar FL 33027-5508 Ph: (305) 877-7051 |
NPI Number | 1447436340 |
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Provider Enumeration Date | 01/10/2008 |
Last Update Date | 03/06/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447436340 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PY 7636 (Florida) | Primary |
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